Claims Examiner - Workers' Comp (remote- Nc/sc/va Exp Needed))

SEDGWICK

Fully remote
Workers' compensation claims experience
Analyze complex claims
Negotiate claim settlements
Analyze complex or technically difficult workers' compensation claims to determine benefits due, work with high exposure claims involving litigation and rehabilitation, and ensure ongoing adjudication of claims within service expectations

Job Summary

  • Analyze complex or technically difficult workers' compensation claims to determine benefits due, work with high exposure claims involving litigation and rehabilitation, and ensure ongoing adjudication of claims within service expectations.
  • Negotiate settlement of claims within designated authority, calculate and assign timely and appropriate reserves, and prepare necessary state filings within statutory limits.
  • Join a global industry leader with a caring culture, offering flexibility, autonomy, professional development, and comprehensive benefits.

Matching Summary

Analyze complex or technically difficult workers' compensation claims to determine benefits due, work with high exposure claims involving litigation and rehabilitation, and ensure ongoing adjudication of claims within service expectations.

Skills & Requirements

Must-have

  • Workers' Compensation claims experience
  • Analyze complex claims
  • Negotiate claim settlements
  • Calculate and pay benefits
  • Manage litigation process

Nice-to-have

  • Caring culture embodiment
  • Empathy, accountability, collaboration
  • Growth and inclusion values
  • Innovative customer-facing solutions

Key Requirements

  • Five (5) years of claims management experience
  • Bachelor's degree preferred
  • Professional certification preferred
  • NC/SC/VA experience needed

Work Rights

Not specified

Tailored Resume

Cover Letter